Medicare Account Resolution Specialist - Digitech - Remote

sarnova; United States; A distancia; USD 48.000 - 72.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

401(k) Plan

Competitive salary

Descripción de la vacante

Sarnova is seeking a Medicare Account Resolution Specialist to manage and resolve Medicare claims after submission, ensuring accurate adjudication and timely processing. The role requires strong analytical skills, meticulous attention to detail, and the ability to handle multiple tasks in a fast-paced billing environment.

The ideal candidate will navigate Medicare guidelines, handle denials, and perform follow-up actions while maintaining professional communication and data integrity.

Formación

• High School Diploma or equivalent required.
• Strong computer skills with MS Outlook, Word, and Excel.
• Type at least 40 WPM with accuracy.
• Ability to manage high-volume workloads with deadlines.

Responsabilidades

• Process Medicare claims that are pending, denied, or underpaid.
• Identify holds, correct errors, and complete follow-up actions.
• Analyze denials, determine next steps, and submit appeals.
• Provide required documentation for accurate adjudication.
• Maintain detailed notes and updates in billing systems.
• Perform additional duties as assigned.

Conocimientos

Typing speed 40 WPM

Detail oriented

Remote work capability

Time management

Educación

High School Diploma or equivalent

Herramientas

MS Outlook

MS Word

MS Excel

Descripción del empleo

The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services and Cardio Partners.

Digitech is a leading provider of advanced billing and technology services to the EMS transport industry. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle. Digitech leverages its proprietary technology to offer fully outsourced services that maximize collections, protect compliance, and deliver results for clients.

The Medicare Account Resolution Specialist is responsible for managing and resolving Medicare claims after submission to ensure accurate and timely processing. This role requires strong analytical skills, exceptional attention to detail, and the ability to manage multiple tasks in a fast‑paced billing environment. The ideal candidate is thorough, dependable, and skilled at navigating Medicare guidelines, denials, and follow‑up processes.

Essential Duties and Responsibilities:

• Work Medicare claims that are pending, unable to be released, denied, or paid incorrectly, ensuring each claim is resolved appropriately and returned to payment status
• Review and resolve claims placed on hold by identifying the reason for the hold, correcting errors, and completing all required follow‑up actions
• Analyze Medicare denials to determine accuracy, identify next steps, and complete appeals, adjustments, or resubmissions as needed
• Provide Medicare with any additional documentation or information necessary for accurate claim adjudication
• Prepare, process, and track correspondence such as letters, emails, supporting documents, and required refunds
• Maintain detailed and accurate notes, documentation, and workflow updates within billing systems to support claim progression and audit requirements
• Additional job duties as assigned

Skills/Experience Required:

• Education: High School Diploma or equivalent required
• Strong computer skills with working knowledge of MS Outlook, Word, and Excel
• Ability to type a minimum of 40 WPM with accuracy
• Proven ability to manage high‑volume workloads while meeting strict deadlines
• Experience in an environment with call monitoring, productivity metrics, or performance scoring is preferred
• Ability to remain calm, professional, and effective during phone interactions while maintaining a positive company image
• Excellent written and verbal communication skills, with the ability to explain information clearly and professionally
• High attention to detail with strong accuracy in claim review and documentation
• Strong organizational and time‑management skills with the ability to prioritize work and complete assigned tasks efficiently
• Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

Physical Requirements:

• Ability to talk, hear, and see clearly to read and interpret information
• Regular use of a computer, phone, and standard office equipment
• Ability to secure confidential information
• Perform all duties in a professional environment free of noise or anything that would create a negative customer experience

Work Schedule:

Employee will be required to work forty (40) hours of per week as defined by their schedule.

Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. EO/M/F/Veterans/Disabled.

• including 401(k) Plan.

Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.

Last Reviewed Date: 3/9/2026

Last Reviewed By: Haley Bowman, Medicare Manager